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F. In-Tank Gauging/SIR Equipment: X Check this box if tank gauging is used only for Inventory control. <br /> r Check this box if no tank gauging or SIR equipment Is Installed. <br /> This section must be completed If In-tank gauging equipment Is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> X Yes ❑ No* Has all Input wiring been Inspected for proper entry and termination,Including testing for ground faults? <br /> Yes ❑ No* Were all tank gauging probes visually Inspected for damage and residue buildup? <br /> Yes Li No* Was accuracy of system product level readings tested? <br /> Yes L! No* Was accuracy of system water level readings tested? <br /> Yes ❑ No* Were all probes reinstalled properly? <br /> X Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): (X)Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Yes ❑ N For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> n NIA that apply) Simulated leak rate: ❑3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow If it detects a leak? <br /> ❑ N/A <br /> ❑ Yes n No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system Is disabled or <br /> N/A disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> N/A falls a test? <br /> R Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually Inspected? <br /> Yes ❑ No* Were all Items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 3 2/21/07 <br />